u/Kris34SB

Hi everyone,

I’m a 27-year-old male and I recently got some lab results that are worrying me a bit. I’m trying to understand what might be going on and what the typical next steps are before I see a nephrologist.

Here are my results:

• Creatinine: 108 µmol/L
• Urea: 11.2 mmol/L
• eGFR: ~95 (calculated)
• Urinalysis:
  • Protein: +2
  • Blood: +1
  • Dysmorphic RBCs: 8 / HPF
  • RBC: 13 / HPF
• Albumin/Creatinine ratio (UACR): 74 mg/mmol

Other info:

• I didn’t drink water for ~12 hours before the test
• I do regular training (gym + running)
• No known diagnosis yet
• Blood pressure is normal

I’m mainly trying to understand:

1. Does this pattern usually suggest a glomerular kidney issue?
2. How serious does this look based on your experience?
3. Is it possible this could improve/stabilize, or is it usually progressive?
4. What are the typical next steps (biopsy, medication, monitoring)?
5. Should I be worried about long-term kidney failure or dialysis from something like this?

I already plan to see a nephrologist tomorrow, but I’d like to understand what people with experience in this have seen before.

Any input is appreciated.

Hi everyone,

I’m a 27-year-old male and I recently got some lab results that are worrying me a bit. I’m trying to understand what might be going on and what the typical next steps are before I see a nephrologist.

Here are my results:

• Creatinine: 108 µmol/L
• Urea: 11.2 mmol/L
• eGFR: ~95 (calculated)
• Urinalysis:
  • Protein: +2
  • Blood: +1
  • Dysmorphic RBCs: 8 / HPF
  • RBC: 13 / HPF
• Albumin/Creatinine ratio (UACR): 74 mg/mmol

Other info:

• I didn’t drink water for ~12 hours before the test
• I do regular training (gym + running)
• No known diagnosis yet
• Blood pressure is normal

I’m mainly trying to understand:

1. Does this pattern usually suggest a glomerular kidney issue?
2. How serious does this look based on your experience?
3. Is it possible this could improve/stabilize, or is it usually progressive?
4. What are the typical next steps (biopsy, medication, monitoring)?
5. Should I be worried about long-term kidney failure or dialysis from something like this?

I already plan to see a nephrologist tomorrow, but I’d like to understand what people with experience in this have seen before.

Any input is appreciated.